| NPI | 1841220167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080I0007X Pediatrics, Clinical & Laboratory Immunology (Licence: OH 35.084866) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.084866) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OH 35.084866) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-03-10 |